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Modelling the economic impact of EI for children and adolescents.

McCrone, P. and Tiffin, P. A. (2010) 'Modelling the economic impact of EI for children and adolescents.', Early intervention in psychiatry., 4 (Supplement 1). p. 68.

Abstract

A small number of EI services have been established for children/adolescents
but evaluations are rare. This paper describes a model to assess the
impact of one such service. A decision model was used to map the care
pathways for children/adolescents presenting to services. Patients may
have actual psychosis or they may be in an ‘at risk mental state’ (ARMS)
or they may have another mental health problem. If psychosis has developed
then the treatment options are to admit the patient or to provide
community-based care. If the patient is in an ARMS then either psychosocial
interventions, medical interventions, a combination of these or no
treatment is provided. End points in the model are defi ned by recovery or
non-recovery.
The two parts of the model differ in the probabilities of the treatments
being provided for patients in an ARMS. It is assumed that such a state will
be recognised by an EI team and treatment will be provided accordingly.
It is assumed that standard CAMHS will recognise fewer ARMS cases than
EI services will. Data suggest that length of stay for those admitted is
substantially less for those receiving EI. Costs were attached to the different
services received.
The results suggest cost savings of £3677, or 22%, for EI. Even though
patients with ARMS are more likely to receive interventions if they are seen
by an EI team the EI costs are less due to the reduced length of stay for
those with psychosis who are admitted.

Item Type:

Article

Additional Information:

Poster Abstract at 7th International Conference on Early Psychosis,
Early Psychoses: A Lifetime Perspective, 29 November - 1 December 2010, Amsterdam, The Netherlands.